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Wei Y. et al., 2019: A rare adverse event after extracorporeal shock wave lithotripsy for biliary stones

Wei Y, Jin Z, Hu W.
Department of Critical Care Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Department of Gastroenterology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Abstract

No abstract available.

Gastrointest Endosc. 2019 Jul 11. pii: S0016-5107(19)32050-4. doi: 10.1016/j.gie.2019.07.005. [Epub ahead of print]

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Comments 1

Hans-Göran Tiselius on Wednesday, 08 January 2020 09:15

The authors describe a very unusual complication of SWL of residual bile duct stones after ERCP. That SWL successfully can be used to successfully disintegrate bile duct stones has been described previously [1]. Despite considerable experience of SWL I have never encountered rupture of a renal artery.

It is difficult to know if the large number of shock-waves; 6300 (?) contributed to the artery injury.

The major problem with SWL of bilary stones is that most of them are radiolucent and need nasobiliary administration of contrast medium,

Reference

1. Lindström E, Borch K, Kullman EP, Tiselius HG, Ihse I.
Extracorporeal shock wave lithotripsy of bile duct stones: a single institution experience.
Gut. 1992 Oct;33(10):1416-20.

The authors describe a very unusual complication of SWL of residual bile duct stones after ERCP. That SWL successfully can be used to successfully disintegrate bile duct stones has been described previously [1]. Despite considerable experience of SWL I have never encountered rupture of a renal artery. It is difficult to know if the large number of shock-waves; 6300 (?) contributed to the artery injury. The major problem with SWL of bilary stones is that most of them are radiolucent and need nasobiliary administration of contrast medium, Reference 1. Lindström E, Borch K, Kullman EP, Tiselius HG, Ihse I. Extracorporeal shock wave lithotripsy of bile duct stones: a single institution experience. Gut. 1992 Oct;33(10):1416-20.
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